K Number
K070163
Device Name
SWABBABLE CAP, MODEL 60205
Manufacturer
Date Cleared
2007-08-03

(198 days)

Product Code
Regulation Number
880.5440
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Swabbable Cap provides temporary aseptic closure of the male luer connector of the IV tubing while disconnected from the patient, replacing the need for disposable caps to maintain aseptic procedure. The device is designed to be permanently attached to an IV administration set and used over the life of the administration set.
Device Description
Provides temporary aseptic closure of the male luer connector of the IV tubing while disconnected from the patient, replacing the need for disposable caps to maintain aseptic procedure.
More Information

Not Found

No
The 510(k) summary describes a mechanical device for IV tubing closure and makes no mention of AI, ML, image processing, or data-driven performance metrics.

No.
The device is described as providing temporary aseptic closure for IV tubing, maintaining sterility rather than directly treating a medical condition or restoring a bodily function.

No

Explanation: The device is described as providing temporary aseptic closure for IV tubing, which is a functional purpose, not a diagnostic one. It does not analyze patient data or provide medical insights.

No

The device description clearly indicates a physical component ("Swabbable Cap") that provides temporary aseptic closure of a male luer connector. This is a hardware device, not software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to provide temporary aseptic closure of IV tubing connectors. This is a physical barrier function to maintain sterility of the tubing, not a diagnostic test performed on a sample from the body.
  • Device Description: The description reinforces the physical closure function.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting specific substances, or providing diagnostic information about a patient's health status.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or screening purposes. This device does not fit that description.

N/A

Intended Use / Indications for Use

The PadLock Swabbable Cap provides temporary aseptic closure of the male luer connector of the IV tubing while disconnected from the patient, replacing the need for disposable caps to maintain aseptic procedure. The device is permanently attached to IV tube sets for general hospital use and is used repeatedly for the life of the administration set.

Product codes

ODI

Device Description

Provides temporary aseptic closure of the male luer connector of the IV tubing while disconnected from the patient, replacing the need for disposable caps to maintain aseptic procedure.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

general hospital use

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K981318

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 880.5440 Intravascular administration set.

(a)
Identification. An intravascular administration set is a device used to administer fluids from a container to a patient's vascular system through a needle or catheter inserted into a vein. The device may include the needle or catheter, tubing, a flow regulator, a drip chamber, an infusion line filter, an I.V. set stopcock, fluid delivery tubing, connectors between parts of the set, a side tube with a cap to serve as an injection site, and a hollow spike to penetrate and connect the tubing to an I.V. bag or other infusion fluid container.(b)
Classification. Class II (special controls). The special control for pharmacy compounding systems within this classification is the FDA guidance document entitled “Class II Special Controls Guidance Document: Pharmacy Compounding Systems; Final Guidance for Industry and FDA Reviewers.” Pharmacy compounding systems classified within the intravascular administration set are exempt from the premarket notification procedures in subpart E of this part and subject to the limitations in § 880.9.

0

K070163

SECTION 5: 510(k) SUMMARY

Submitted by:Baxa CorporationAUG - 3 2007
Contact Person:Kimberly Zizik(303) 617-2242
(303) 690-4204
Phone:
Fax:
Date Prepared:
Manufacturing Facility:Baxa Corporation
14445 Grasslands Drive
Englewood, CO 80112
Establishment registration number 1419106
Submitted Device:PadLock™ Swabbable Cap
Common Name: Set, Intravascular Administration (ODI)
Product Code:ODI
Device Classification:Class II
Classification: 21 CFR § 880.5440 Intravascular
administration set
(a) Identification . An intravascular administration set is a
device used to administer fluids from a container to a
patient's vascular system through a needle or catheter
inserted into a vein. The device may include the needle or
catheter, tubing, a flow regulator, a drip chamber, an infusion
line filter, an I.V. set stopcock, fluid delivery tubing,
connectors between parts of the set, a side tube with a cap
to serve as an injection site, and a hollow spike to penetrate
and connect the tubing to an I.V. bag or other infusion fluid
container.
(b) Classification . Class II (performance standards)
Predicate Device:Trade Name: Dual Luer Lock Cap
Common Name: Set, Intravascular Administration
Classification Name: [880.5440] Intravascular Administration
Set (Class II) (FPA)
Manufacturer: Baxter Healthcare Corporation
510(k) Number: K981318
Product Description:Provides temporary aseptic closure of the male luer
connector of the IV tubing while disconnected from the
patient, replacing the need for disposable caps to maintain
aseptic procedure.
Intended Use:The PadLock Swabbable Cap provides temporary aseptic
closure of the male luer connector of the IV tubing while
disconnected from the patient, replacing the need for
disposable caps to maintain aseptic procedure. The device
is permanently attached to IV tube sets for general hospital
use and is used repeatedly for the life of the administration
set.

Image /page/0/Picture/3 description: The image shows the word "Baxa" in a bold, sans-serif font. The letters are evenly spaced and the word is centered. The font appears to be a digital font, with a slightly pixelated appearance.

.

Fax

1

Image /page/1/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus symbol, which is a staff with two snakes coiled around it, often used as a symbol of medicine. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the caduceus symbol.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

AUG - 3 2007

Ms. Kimberly Zizik Regulatory Assurance Supervisor Baxa, Corporation 14445 Grasslands Drive Englewood, Colorado 80112

Re: K070163

Trade/Device Name: Swabbable Cap Regulation Number: 880.5440 Regulation Name: Intravascular Administration Set Regulatory Class: II Product Code: ODI Dated: July 20, 2007 Received: July 23, 2007

Dear Ms. Zizik:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

2

Page 2 - Ms. Zizik

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely vours.

Clur
Chiu Lin, Ph.D.

Chiu Lin, Ph.D. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

510(k) Number: K070163

Device Name: Swabbable Cap

Indications for use:

The Swabbable Cap provides temporary aseptic closure of the male luer connector of the IV tubing while disconnected from the patient, replacing the need for disposable caps to maintain aseptic procedure. The device is designed to be permanently attached to an IV administration set and used over the life of the administration set.

Prescription Use X (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

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(Division Sign-Off) (Division Sign-On)
Division of Anesthesiology, General Hospital Division Control, Dental Devices

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